Aortoiliac occlusive disease with situs inversus totalis: Anesthetic management of a rare association

Situs inversus totalis (SIT) is a rare, autosomal recessive congenital anomaly, in which the major visceral organs are reversed from their normal position. Their unique anatomy and association with various congenital anomalies may present various challenges during anesthetic management. We report a case of SIT with aortoiliac occlusive diseases who underwent axillobifemoral bypass grafting surgery. We aim to discuss the anesthetic considerations and implications associated with such patients.